SPINENAVIGATION

Brainlab Spine Navigation combines state-of-the-art touch screen based image

control with best-in-class registration methods for image guided surgery. As an

open navigation platform, Brainlab Spine Navigation enables accurate pedicle

screw placement. Navigation of implants and instruments is possible in 2D images,

3D fluoroscopy scans, MR or CT datasets at all stages of surgery—from incision

planning to implant placement.

The indication range covers pedicle screw placement in any area of the spine,

placement of C1-C2 screws, complex deformity correction, tumor surgery and

surgical planning.

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IMAGE GUIDED SPINE SURGERYCONFIDENCE AND ACCURACY

The indication range of Brainlab Spine Navigation spans cervical and high thoracic

dorsal instrumentations to routine lower lumbar surgery, tumor treatment and

deformity surgery planning and visualization.

Navigation is possible in 2D images as well as 3D scans from various scanners; both

pre- and intraoperative CT images can be registered. Pre- and manually calibrated

instruments can be utilized, as well as instruments from any other implant system

which are integrated with universal adapter clamps.

Depending on the surgical case, additional features such as Co-Registration,

CT-Fluoro Matching or CT/MR-Fusion provide a wide range of image information.

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MULTIPLE INDICATIONSGREATER VISUALIZATION

Brainlab Spine Navigation assists in the safe placement of implants,

especially in anatomically critical areas. Real time visualization of

instruments leads to accuracy of implant placement.

In tumor surgery, critical information derived from CT and MR

images can be used simultaneously by fusing these images. Tumor

objects with safety margins, created with semi-automated software

tools, allow for additional visualization of intersection with bone

tissue.

For easy, confident pedicle screw placement in minimally

invasive cases, 2D fluoroscopic images can be registered

automatically with a patented handheld registration device.

3D C-arm scans can be registered even without additional

imaging. Incisions and trajectories can be planned accurately

with any instrument at skin level.

The combination of pre-planning and quick registration of adjacent

levels allows for the support of complex procedures like deformity

correction. The improved orientation of navigation and enhanced

information from planning is especially valuable in such cases.

Navigation can be performed in any common image format from 2D and 3D images

to MR, CT and robotic iAngio 3D scans, regardless of pre- or intraoperative image

acquisition. After a quick automatic image registration or point based registration,

navigation can begin. Attached to the pointer, SmartClip enables remote control of

the application.

SIMPLE REGISTRATIONPRACTICAL SIMPLICITY

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Automatic Image Registration with Airo Mobile Intraoperative CT

Minimally invasive 2D Fluoro Registration can be easily performed

with a patented autoclavable handheld registration device.

With Fluoro 3D Registration, 3D C-arm scans are registered

automatically and less invasively within minutes.

For open surgeries, registration can be performed manually on

the bone surface. Surface Matching is a fast manual registration

method with an auto-correcting algorithm. Paired Point Matching

is done with pre- or intraoperative planning of surface points

and registration of other anatomical structures. This applies

especially to deteriorated bony conditions and non-spinal regions.

With Airo Mobile Intraoperative CT and Automatic Image

Registration, scans are registered and transferred automatically to

the navigation system for minimally invasive and open procedures.

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DePuy Synthes VIPER PRIMETM Instrument compatible with

Brainlab Navigation and fully integrated in the instrument selection

tool in the Navigation Software Spine and Trauma 3D.

To gain even more insight for individual cases, Brainlab Spine Navigation offers

additional features.

CT-Fluoro Matching allows for the registration of preoperative CT scans with

two conventional C-arm images for minimally invasive procedures.

To drastically enhance image quality, Co-Registration allows co-registering of

preoperative CT scans with automatically registered Fluoro 3D data, for example,

in cases involving obese patients.

For additional soft tissue information, for instance, in tumor treatment, Fusion

brings full preoperative MR information together with a registered CT scan.

FUSION AND CO-REGISTRATIONIMAGE UNITY

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CT/MR-Fusion

In addition to a range of Brainlab instruments, cooperations with DePuy Synthes

and other selected 3rd party manufacturers also provide navigation-ready integrated

instruments.

Moreover, the open platform principle of Brainlab Spine Navigation enables any

instrument to be manually calibrated for navigation by attaching adapter clamps.

Pre- or manually calibrated instruments can be integrated into Navigation for smooth

and seamless workflows.

Follow standard clinical workflow

Visualize pre-calibrated instruments in 3D geometry

Integrate any instrument and implant system with universal adapter clamps

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INSTRUMENT INTEGRATIONSEAMLESS WORKFLOWS

Integrated Viper2 // Expedium instruments

Thoraco-lumbar posterior stabilization

Pre-calibrated cannulated and non-cannulated awls, probes, taps

Manually calibrated cannulated and non-cannulated screwdrivers

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DePuy Synthes - Viper2 // Expedium

INSTRUMENT INTEGRATIONDEPUY SYNTHES

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Integrated universal spinal instruments

Pre-calibrated awls and probes for thoraco-lumbar posterior stabilization

Pre-calibrated guide tubes and drill bits for navigated drilling

Manually calibrated chisels for navigated osteotomies

Brainlab — Spinal Instruments

INSTRUMENT INTEGRATIONBRAINLAB

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INTELLIGENT PLATFORMSTOUCH-BASED COMMAND AND CONTROL

© 2018 Brainlab AG. ST_BR_EN_Spine_Image Guided Surgery_Aug19_Rev8

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